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Welcome to the Migraine and Headaches Forum! This forum is for questions and support regarding migraine and headache issues such as: abdominal migraines, headaches caused by allergies, cluster headaches, headaches, headaches in children, migraine headaches, sinus headaches, tension headaches, visual disturbances.
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Sharp throbbing headache in the back left part of the head

by JOE1424USA, Jun 21, 2008 02:57PM
About 2 weeks ago while doing pushups I started experiencing sharp, throbbing headaches in the back left part of my head.  The throbbing goes away after a while, but I still have sharp pains in that area most of the time.  If I am standing and walking/running the pain is not there at all, but as soon as I start pushups it comes back throbbing.  It has been awakening me while sleeping lately.  Does this sound familiar to anybody?  Does it sound like a nerve or more of vascular problem?  Any help would be appreciated.  I am not in a position to make it to the doctor right now.  
Member Comments (5)

by Vanessa Lacuesta, Jun 22, 2008 02:51AM
Hi

You have noted the pain to be sharp and throbbing. Also, the pain has been associated with exercises. This sounds more vascular to me although a musculoskeletal and nerve related problem are still differentials. Nerve related pain or neuralgia are described to be burning in character and they may be present over the nerve's pattern of distribution. As for musculoskeletal pain, the pain may be associated with a certain position or activity.

In your case, I would think of exertional headaches as a primary differential. This type of headache is associated with exercises especially straining exercises. I would advise that a baseline CT scan be done just to rule out any structural or organic problems. Your blood pressure should also be assessed.

Is there any history of stroke or heart problems in the family?


by JOE1424USA, Jun 22, 2008 05:40PM
Thanks for the information.  There is no history of strokes, but a few heart issues with grandparents.  I had a full check up a couple months ago, blood pressure and everything esle was excellent.  I have never had issues with blood pressure.  The pain is definitely more noticeable in certain positions.  Thanks.

by Vanessa Lacuesta, Jun 23, 2008 01:07AM
Hi

Yes. Exertional headaches and headaches secondary to spine problems are the closest differentials here. Just be careful when pursuing your daily exercises. Do some stretching first before engaging in strenuous exercises. Do these moderately and try to rest and relax in between .Nevertheless, have a baseline assessment done so that other conditions may be ruled out.

by JOE1424USA, Jun 23, 2008 08:30PM
I went to the Dr. today.  She diagnosed me with a sprained neck and prescribed me flexeril or something like that.  I do have to say it feels better since I have taken the medicine.  Does that sound like the correct diagnosis?  Thanks

by Vanessa Lacuesta, Jun 24, 2008 01:09AM
Hi

Yes. Spine problems and musculoskeletal problems have been one of the differentials here. You have also mentioned of the headaches being associated with position. So , I would say that after a thorough medical history and complete physical examination a sprained neck may be a diagnosis.

Just continue to observe your condition. If the pain persists despite medications or if other associated symptoms begin to appear, then you need to have a follow up consult. Watch out for increasing pain, visual symptoms, loss of balance or any form of weakness in the extremities.
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